Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Garret Lane Blankenship, PSYD

Individual provider Clinical Psychologist · NPI 1295181196

Dr. Garret Lane Blankenship, PSYD is a Clinical Psychologist in Fort Worth, Texas. Qualified in 2019, 7 years ago. Practices with Acclaim Physician Group Inc, a 523-clinician group and accepts Medicare assignment. Licensed in Arizona and Texas.

Years since qualifying
7
Licensed in
AZ, TX
In the registry since
2016
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

601 W Terrell Ave
Fort Worth, TX 76104-3243
Phone: (817) 702-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 39801 (TX)
Clinical Psychologist Taxonomy 103TC0700X · Licence 005356 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1295181196
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedMay 10, 2016
Last updated in NPPESMarch 27, 2023
Certification dateMarch 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Acclaim Physician Group Inc — 523 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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